Kid Koncepts,LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0001092526 Issued in VA

Legal business name

KID KONCEPTS,LLC

Doing business as

Early Intervention Partnerships

Practice address

2861 S F T Valley Rd
Etlan, VA 22719-2000

Phone

(703) 346-7243

NPI assigned

Oct 18, 2016

Organization subpart

Yes

Parent organization

KID KONCEPTS,LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christine Wallin, RN

Title

Coowner

Phone

(703) 346-7243

Specialties & licenses 1

Addresses

Other names 1

• Early Intervention Partnerships Doing business as

Part of

Kid Konceptsllc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kid Koncepts,LLC

  • Early Intervention Provider Agency
  • Etlan, VA
  • NPI 1013343110
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1801347513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 S F T VALLEY RD",
            "city": "ETLAN",
            "state": "VA",
            "postal_code": "227192000",
            "telephone_number": "703-346-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 S F T VALLEY RD",
            "city": "ETLAN",
            "state": "VA",
            "postal_code": "227192000",
            "telephone_number": "703-346-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID KONCEPTS,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KID KONCEPTS,LLC",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "703-346-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "0001092526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Intervention Partnerships",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kid Koncepts,LLC

• Early Intervention Provider Agency in Etlan, VA
• Providers in Etlan, VA by specialty
• Early Intervention Provider Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.